The nurse is teaching a mother of a young child with a newly diagnosed seizure disorder. The child is prescribed valproic acid (Depakote) for control of seizures. Which parental statement indicates the need for further education?
1. "I will not use carbonated beverages to dilute his medication."
2. "I will give his medicine on an empty stomach so he will absorb it better."
3. "I will not let him chew his tablet."
4. "I will bring him to the physician's office for regular blood work to check bleeding times."
2
Explanation:
1. Carbonated beverages should never be used to dilute valproic acid.
2. Valproic acid (Depakote) should be given with foods to decrease gastrointestinal irritation.
3. This child should not be allowed to chew a valproic acid tablet.
4. It is appropriate to have periodic blood studies to check bleeding times and platelet count.
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Which of the following statements made by a parent indicates a need for the nurse to teach safety and accident prevention?
a. "I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don't move around as much as older infants." b. "I've been reading about what new things my baby will be learning to do in the next month or two, so I'll know what to expect." c. "I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy." d. "I always take the phone off the hook when I give my baby a bath so I won't be disturbed."
A client has been diagnosed with Rocky Mountain spotted fever. The causative organism for this disease process is:
1. bacteria. 2. helminth. 3. mycoplasma. 4. rickettsia.
The client who is being mechanically ventilated has copious amounts of secretions ranging from thick and tenacious to frothy. In preparing to suction this client the nurse should:
1. Hyperventilate the client using settings on the mechanical ventilator. 2. Hyperventilate the client using a manual resuscitator. 3. Avoid hyperventilation, but instill normal saline into the endotracheal tube. 4. Avoid hyperventilation and increase the oxygen to 100% for several breaths.
Robert Fitzsimmons is an administrator with the local hospital. His responsibilities include the maintenance and security of all of the automated systems that affect individual departments as well as the electronic health record. Mr. Fitzsimmons is a/an:
What will be an ideal response?